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May 1960

Chronic Relapsing Pancreatitis in Childhood

Author Affiliations

U.S. Army
From the Department of Pediatrics, DeWitt Army Hospital, Fort Belvoir, Va. Present address: Department of Pediatrics, University of Minnesota, Minneapolis (Dr. Warwick).

AMA Am J Dis Child. 1960;99(5):648-652. doi:10.1001/archpedi.1960.02070030650012

Chronic pancreatitis is a rare disease, especially so in childhood. In 1946 Comfort, Gambill, and Baggenstoss1 reviewed the life history of chronic pancreatitis. This disease is characterized by acute, painful exacerbations of pancreatitis, recurring after long or short intervals of well-being. The pain is usually epigastric in location, and the serum amylase may or may not be elevated. Disturbances of pancreatic function occur. They are at first transitory and mild, but later glucosuria, hyperglycemia, steatorrhea, and creatorrhea appear and persist, together with an enlarged pancreas and pancreatic stones. Hepatomegaly, splenomegaly, jaundice, ascites, hyperlipemia, nutritional anemia, and even peripheral neuritis may later occur.

The rarity of this condition, only four cases having been previously reported, warrants the following case report:

Report of Case  On May 1, 1958, an obese 5½-year-old girl was admitted to the hospital because of abdominal pain, nausea, and vomiting of 24 hours' duration.Two years before

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